Schmid C, Paterakis S, Likungu J A, Kirchhoff P G
Dtsch Med Wochenschr. 1987 Sep 18;112(38):1462-4. doi: 10.1055/s-2008-1068271.
A 68-year-old woman, known to have a secundum atrial septal defect which had been asymptomatic, reported dyspnea and occasional chest pain for two years. Admission examination revealed orthopnea, cyanosis, polycythemia and inflow congestion of the upper part of the body. After some blood-letting, nifedipine and nitrates brought immediate relief of symptoms. Physical examination, chest x-ray and ECG were not different from previously known findings. All laboratory tests were normal. The findings on cross-sectional echocardiography raised the suspicion of a right ventricular tumor, which was then demonstrated by computed tomography. There were no metastases. Under extracorporeal circulation a right-ventricular benign myxoma, attached to the apical septum and the size of a tennis-ball, was removed. The postoperative course was without complications and the patient was discharged symptom-free.
一名68岁女性，已知患有继发孔型房间隔缺损，此前一直无症状，现报告有两年的呼吸困难和偶尔的胸痛。入院检查发现端坐呼吸、发绀、红细胞增多症以及上身充血。放血、服用硝苯地平和硝酸盐后症状立即缓解。体格检查、胸部X光和心电图与之前已知的结果无异。所有实验室检查均正常。横断面超声心动图检查结果怀疑有右心室肿瘤，随后计算机断层扫描证实了这一点。没有转移。在体外循环下，切除了附着于心尖隔膜、网球大小的右心室良性黏液瘤。术后过程无并发症，患者出院时无症状。
